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34 Cards in this Set

  • Front
  • Back
which parts of the duodenum are retroperitoneal? intraperitoneal?
retro - descending, horizontal, ascending

Intra - superior and duodenaljejunal flexure
what is the first part of the superior duodenum called?
the ampulla
where are the duodenal papilla located?
in the descending duodenum
What do the duodenal papilla correspond to?
entry site for the hepatopancreatic ampulla and the accessory duct
what is the arch where the duodenum and jejunum meet?
duodenojejunal flexure
what is the hole in the peritoneum where the duodenum comes through called?
the duodenal fossa
what are the superior bending points in the colon called?
L and R colic flexures
what holds the duodenum in place?
the suspensory muscle of the duodenum
how long is the SI?
6 to 7 meters

18 to 21 feet
what happen to the circular folds as you descend in the SI?
they just "go away"

"there it is.... and its gone"
what is the difference in the arcades of the jejunum and the ileum?
jejunum - single or double

ileum - multiple
what is the difference in wall diameter and thickness in the jejunum and the ileum?
jejunum has thicker and larger walls than the ileum
what is the differenc between the vasa recta in the jejunum and the ileum?
jejunum - Long vasa recta
ileum - short vasa recta
what is the difference in mesenteric fat between the jejunum and the ileum?
the ileum has more fat than does the jejunum
what is an ileal (meckels) diverticulum?
2 x 2 x 2

remnant of the viteline duct
what is attached to the cecum?
the appendix
what landmarks do you find on the inside of the cecum?
ileal papilla
orifice of the appendix
ileocecal lips
what is Mcburneys point and where do you find it?
it reffers to the location of the cecum and appendix.
It is located 1/3 of the way superiorly on the line that spans from the ASIS to the umbilicus
what are the landmarks of the colon?
haustra
omental appendices
semilunar folds
tinea coli
what part of the colon is intraperitoneal?
the transverse portion and the sigmoid
where is the rectosigmoid jxn?
at a level of S3
where would you find referred pain from the foregut, midgut, and hindgut?
foregut - epigastric
midgut- umbilical
hindgut- hypogastric
what aortic branches supply the foregut, midgut and hindgut?
Celiac trunk
SMA
IMA
what vertebral level is the SMA located at?
L1
describe the path of the superior portion of the SMA in relation to the organs surrounding it
posterior to the neck of the pancreas
anterior to the uncinate process of the pancreas
anterior to the left renal v.
anterior to the horizontal portion of the duodenum
trace the arterial path around the pancreas from the SMA to the celiac trunk
SMA
inferior pancreaticoduodenal a.
superior pancreaticoduodenal a
gastroduodenal a
common hepatic a.
celiac trunk
how many jejunal and ileal branches come of of the SMA?
15 to 20
what are the 3 named branches the come off of the right side of the SMA?
inferior pancreaticoduadenal a
right colic a
ileocolic a
what branch comes off of the anterior portion of the SMA?
middle colic a.
what does the middle colic a. give rise to?
the marginal a.
at what point does the IMA branch from the aorta?
L3
what are the named branches of the IMA?
left colic a.
sigmoidal aa.
superior rectal termination of the IMA
what are the lymphatic of the midgut?
superior mesenteric nodes
what are the lymphatics of the hindgut?
inferior mesenteric nodes
lumbar nodes